Virginia M Brown, LCSW, M.ED.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04630400 Issued in NJ

Practice address

15 Porter Rd
Maplewood, NJ 07040-3311

Phone

(973) 752-1691

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Susan Menahem Psychotherapy Service, PAGroup PAC ID 1557803889, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan Menahem Psychotherapy Service, PA

  • Clinical Social Worker
  • Highland Park, NJ
  • NPI 1366934374
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1609952290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PORTER RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403311",
            "telephone_number": "973-752-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PORTER RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403311",
            "telephone_number": "973-752-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "credential": "LCSW, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04630400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Broadwell, LAC
• Aiyana Brotherson, LMFT
• Alexandria Brown, PA-C
• Christine Lesley- Ann Brown, LCSW
• Rashana Felice Brown, MA, LPC, NCC
• Megan Bruhn
• Rochelle Laverne Brunson, LMT
• Alexandra Burns
• Jacqueline B. Caballero-McMechen, LCSW
• Caitlin Lennox

• Clinical Social Worker in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.